| Osu General Internal Medicine Llc | |
|
1800 Zollinger Rd Columbus OH 43221-2849 | |
| (614) 293-5123 | |
| (614) 293-4890 |
| Full Name | Osu General Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Zollinger Rd, Columbus, Ohio |
| Authorized Official Name and Position | Jami Hensley (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 6142932229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu General Internal Medicine Llc 700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 Ph: () - | Osu General Internal Medicine Llc 1800 Zollinger Rd Columbus OH 43221-2849 Ph: (614) 293-5123 |
| NPI Number | 1689919599 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Medicare PECOS PAC ID | 7517103955 |
|---|---|
| Medicare Enrollment ID | O20130409000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689919599 | NPI | - | NPPES |
| Provider Name | Allison A Macerollo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134185747 PECOS PAC ID: 8224932926 Enrollment ID: I20031124000669 |
| Provider Name | Balpreet S Jammu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376500421 PECOS PAC ID: 8820997158 Enrollment ID: I20040107000021 |
| Provider Name | Mary Jo Panzon Welker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922061472 PECOS PAC ID: 7315831377 Enrollment ID: I20040210001225 |
| Provider Name | Benita Marie Petri Pickstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013970565 PECOS PAC ID: 9537053509 Enrollment ID: I20040210001229 |
| Provider Name | Matthew L Black |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366922247 PECOS PAC ID: 9436048493 Enrollment ID: I20040315001282 |
| Provider Name | Kimberly M Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396713285 PECOS PAC ID: 4981592110 Enrollment ID: I20040317000064 |
| Provider Name | Laura E Ryan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619984416 PECOS PAC ID: 9537154083 Enrollment ID: I20040415000790 |
| Provider Name | Candy S Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447263793 PECOS PAC ID: 8628068327 Enrollment ID: I20040518001294 |
| Provider Name | James R Borchers |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073570107 PECOS PAC ID: 4880675867 Enrollment ID: I20040526000447 |
| Provider Name | Carmen R Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821056144 PECOS PAC ID: 6002898251 Enrollment ID: I20040602001156 |
| Provider Name | Barbara Laroque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255416889 PECOS PAC ID: 9638153463 Enrollment ID: I20040617000770 |
| Provider Name | Scott Ashton Holliday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437141629 PECOS PAC ID: 2365427341 Enrollment ID: I20040623000481 |
| Provider Name | Natalie M. Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255345948 PECOS PAC ID: 0547247041 Enrollment ID: I20040701001678 |
| Provider Name | Kendra Mccamey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922065028 PECOS PAC ID: 0749260396 Enrollment ID: I20040723000245 |
| Provider Name | Jeanne Caligiuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245217454 PECOS PAC ID: 2567435902 Enrollment ID: I20040816000008 |
| Provider Name | Robert Lauren Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992782130 PECOS PAC ID: 3476526625 Enrollment ID: I20040816001071 |
| Provider Name | Stephen Craig Koesters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659350783 PECOS PAC ID: 6507826492 Enrollment ID: I20041014001039 |
| Provider Name | Michael James Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629031976 PECOS PAC ID: 7517927429 Enrollment ID: I20041014001163 |
| Provider Name | Leon Mcdougle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932162294 PECOS PAC ID: 3870553704 Enrollment ID: I20041014001271 |
| Provider Name | Angela Blackstone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700841558 PECOS PAC ID: 6800833260 Enrollment ID: I20050418000084 |
| Provider Name | Jasmine Trouten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992798441 PECOS PAC ID: 5193709210 Enrollment ID: I20050426000009 |
| Provider Name | James Michael Lawlor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417984196 PECOS PAC ID: 2769370303 Enrollment ID: I20050429001016 |
| Provider Name | Daniel Eric Jonas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417024175 PECOS PAC ID: 3779526538 Enrollment ID: I20050603000000 |
| Provider Name | Mariann B Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780632257 PECOS PAC ID: 5496790214 Enrollment ID: I20050622000989 |
| Provider Name | Richard E Rodenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205811932 PECOS PAC ID: 2860392990 Enrollment ID: I20050901000163 |
| Provider Name | Edith Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952346116 PECOS PAC ID: 2163447228 Enrollment ID: I20051007000901 |
| Provider Name | David A Kageorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362283 PECOS PAC ID: 7416972575 Enrollment ID: I20051007000918 |
| Provider Name | Deborah A Gordish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609831270 PECOS PAC ID: 4981625563 Enrollment ID: I20051210000031 |
| Provider Name | Cynthia Gail Kreger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700840360 PECOS PAC ID: 0345261921 Enrollment ID: I20051210000037 |
| Provider Name | James F Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821053448 PECOS PAC ID: 5799706370 Enrollment ID: I20051210000040 |
| Provider Name | Cynthia H Ledford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063476497 PECOS PAC ID: 7517988199 Enrollment ID: I20051210000041 |
| Provider Name | Neeraj Hari Tayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487619193 PECOS PAC ID: 3779504352 Enrollment ID: I20051210000057 |
| Provider Name | Andrew M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346205960 PECOS PAC ID: 6406877083 Enrollment ID: I20051210000059 |
| Provider Name | Geoffrey Clarke Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588629117 PECOS PAC ID: 7315968997 Enrollment ID: I20051210000060 |
| Provider Name | Harrison Goodale Weed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295792372 PECOS PAC ID: 0042231623 Enrollment ID: I20051210000065 |
| Provider Name | Janet R Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588627848 PECOS PAC ID: 3971527078 Enrollment ID: I20060117000184 |
| Provider Name | William Frederick Miser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376598490 PECOS PAC ID: 4688698525 Enrollment ID: I20060119000003 |
| Provider Name | Randell K Wexler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851354112 PECOS PAC ID: 0042234684 Enrollment ID: I20060123000007 |
| Provider Name | Joel C Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750344016 PECOS PAC ID: 0941224588 Enrollment ID: I20060123000012 |
| Provider Name | John M Grandominico |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689622102 PECOS PAC ID: 9234153768 Enrollment ID: I20060123000840 |
| Provider Name | Oralea A Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992765978 PECOS PAC ID: 4880602820 Enrollment ID: I20060403000018 |
| Provider Name | Linda Eun Kyung Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851367452 PECOS PAC ID: 9436160819 Enrollment ID: I20060523000159 |
| Provider Name | Nancy T Theado-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336195213 PECOS PAC ID: 3870495054 Enrollment ID: I20060530000061 |
| Provider Name | Steven J Krause |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982669651 PECOS PAC ID: 2860490877 Enrollment ID: I20061129000065 |
| Provider Name | Robert S Gotfried |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871084 PECOS PAC ID: 2365444684 Enrollment ID: I20070215000102 |
| Provider Name | Gail M Grever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669517298 PECOS PAC ID: 5698874022 Enrollment ID: I20070625000768 |
| Provider Name | Kellie M Brinkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366654931 PECOS PAC ID: 4284733304 Enrollment ID: I20070629000410 |
| Provider Name | Michael L Blumenfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538108345 PECOS PAC ID: 1557269768 Enrollment ID: I20070719000000 |
| Provider Name | M Bashar Atai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538111075 PECOS PAC ID: 4981672847 Enrollment ID: I20070725000210 |
| Provider Name | Angela Una Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272687 PECOS PAC ID: 2062501414 Enrollment ID: I20071207000609 |
| Provider Name | Bethany D Panchal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942478938 PECOS PAC ID: 9739263195 Enrollment ID: I20080222000561 |
| Provider Name | Jessica A Hord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477566396 PECOS PAC ID: 8426119611 Enrollment ID: I20081205000638 |
| Provider Name | Dustin A Chase |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285845396 PECOS PAC ID: 6800959263 Enrollment ID: I20090111000000 |
| Provider Name | Jill Elizabeth Suttles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962652503 PECOS PAC ID: 6002971843 Enrollment ID: I20090211000628 |
| Provider Name | Margaret Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063588473 PECOS PAC ID: 1153486741 Enrollment ID: I20090216000000 |
| Provider Name | Lucia M Jenkusky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841392529 PECOS PAC ID: 7618945478 Enrollment ID: I20090304000434 |
| Provider Name | Patricia Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649495748 PECOS PAC ID: 1153472162 Enrollment ID: I20090706000002 |
| Provider Name | Jodi M Grandominico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184835696 PECOS PAC ID: 9638221492 Enrollment ID: I20090709000333 |
| Provider Name | Sarah A Jonaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376592113 PECOS PAC ID: 0749332351 Enrollment ID: I20090713000344 |
| Provider Name | Donnita Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427299130 PECOS PAC ID: 0345392338 Enrollment ID: I20090722000697 |
| Provider Name | Kelly H Tyler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952523722 PECOS PAC ID: 7315038197 Enrollment ID: I20091013000027 |
| Provider Name | Aaron D Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710986922 PECOS PAC ID: 8820136435 Enrollment ID: I20091118000533 |
| Provider Name | Teresa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700011871 PECOS PAC ID: 7315088093 Enrollment ID: I20091231000381 |
| Provider Name | Donald Owen Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316980311 PECOS PAC ID: 7315991247 Enrollment ID: I20100317001030 |
| Provider Name | Michael A Jonesco |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1083800361 PECOS PAC ID: 3678603735 Enrollment ID: I20100616000451 |
| Provider Name | Erin E Mcconnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124142898 PECOS PAC ID: 9335279314 Enrollment ID: I20100618000104 |
| Provider Name | Ashley S Sneed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245544261 PECOS PAC ID: 9638293855 Enrollment ID: I20100825000283 |
| Provider Name | Seuli M Brill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134349137 PECOS PAC ID: 9436275401 Enrollment ID: I20100927001517 |
| Provider Name | Cheryl L Bourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366759888 PECOS PAC ID: 8921293671 Enrollment ID: I20101108001409 |
| Provider Name | Stacey L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265740872 PECOS PAC ID: 4385831411 Enrollment ID: I20101215000119 |
| Provider Name | Anoosheh Behrooz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356400410 PECOS PAC ID: 6901995455 Enrollment ID: I20110125000372 |
| Provider Name | Mary Ann Wynd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396702460 PECOS PAC ID: 1456531474 Enrollment ID: I20110209000081 |
| Provider Name | Muna Aldiab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639332125 PECOS PAC ID: 3971784331 Enrollment ID: I20110218000367 |
| Provider Name | Nazhat Taj-schaal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881605194 PECOS PAC ID: 3577535640 Enrollment ID: I20110310000274 |
| Provider Name | Meera G Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962714089 PECOS PAC ID: 5294917209 Enrollment ID: I20110314000035 |
| Provider Name | Jared M Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821259771 PECOS PAC ID: 3173700531 Enrollment ID: I20110613000067 |
| Provider Name | Kirti R Shanker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316187677 PECOS PAC ID: 5799953758 Enrollment ID: I20110718000323 |
| Provider Name | Matthew J Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376782094 PECOS PAC ID: 3072781939 Enrollment ID: I20110719000814 |
| Provider Name | David Banas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447471164 PECOS PAC ID: 5799839528 Enrollment ID: I20110923000421 |
| Provider Name | Stacy S Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174802938 PECOS PAC ID: 0840462768 Enrollment ID: I20111018000582 |
| Provider Name | Kristin K. Conners |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235333287 PECOS PAC ID: 4880866771 Enrollment ID: I20111019000515 |
| Provider Name | Wanda L Mcentyre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124039847 PECOS PAC ID: 9133393697 Enrollment ID: I20111117000730 |
| Provider Name | Dianna Womer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295010494 PECOS PAC ID: 8426222589 Enrollment ID: I20111129000788 |
| Provider Name | Elizabeth L Gandee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568739274 PECOS PAC ID: 5991962995 Enrollment ID: I20120202000488 |
| Provider Name | Lekshmi T Nair |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700928173 PECOS PAC ID: 7911046743 Enrollment ID: I20120214000922 |
| Provider Name | Veronique Bartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023064094 PECOS PAC ID: 5496651572 Enrollment ID: I20120216000114 |
| Provider Name | Christopher D Hanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801057385 PECOS PAC ID: 9830353523 Enrollment ID: I20120608000226 |
| Provider Name | Aradhna B Saraswat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043441488 PECOS PAC ID: 9133375801 Enrollment ID: I20120813000194 |
| Provider Name | Sarah R Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790910636 PECOS PAC ID: 6103072665 Enrollment ID: I20120816000123 |
| Provider Name | Maliha Akbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972734077 PECOS PAC ID: 5698921187 Enrollment ID: I20120816000456 |
| Provider Name | Alison B Delucia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699024760 PECOS PAC ID: 3971753518 Enrollment ID: I20121017000453 |
| Provider Name | Andrew Schamess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659339042 PECOS PAC ID: 7517960115 Enrollment ID: I20130111000258 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386998771 PECOS PAC ID: 8325284938 Enrollment ID: I20130425000590 |
| Provider Name | Katherine Jurden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952649782 PECOS PAC ID: 6507003175 Enrollment ID: I20130520000342 |
| Provider Name | Kevin J Goist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568662732 PECOS PAC ID: 7517104979 Enrollment ID: I20130711000646 |
| Provider Name | Michelle F Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700223740 PECOS PAC ID: 2769624659 Enrollment ID: I20130805000962 |
| Provider Name | Katrina F Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437386406 PECOS PAC ID: 1456593177 Enrollment ID: I20130808000947 |
| Provider Name | Betsy L Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083055602 PECOS PAC ID: 9234372111 Enrollment ID: I20130823001252 |
| Provider Name | Ernesto A Ortiz Cruzado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194926394 PECOS PAC ID: 0749362762 Enrollment ID: I20130910000925 |
| Provider Name | Sarah B Hartfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487094496 PECOS PAC ID: 5193959492 Enrollment ID: I20130927000352 |
| Provider Name | Nicole D Shroyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356774574 PECOS PAC ID: 5294960910 Enrollment ID: I20131104001511 |
| Provider Name | Tanya Ruff Gure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447336896 PECOS PAC ID: 3274626445 Enrollment ID: I20131120001340 |
| Provider Name | Brett Worly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932265915 PECOS PAC ID: 1052463619 Enrollment ID: I20131218001824 |
| Provider Name | Bryant J Walrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811943459 PECOS PAC ID: 5092896001 Enrollment ID: I20140116001878 |
| Provider Name | Carolyn M Lonser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730138306 PECOS PAC ID: 0446249726 Enrollment ID: I20140318000578 |
| Provider Name | Jennifer L Brockmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073952446 PECOS PAC ID: 7517182454 Enrollment ID: I20140708002283 |
| Provider Name | Yu-ting Lozanski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336433234 PECOS PAC ID: 8022235340 Enrollment ID: I20140811001615 |
| Provider Name | Dhanu Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083993000 PECOS PAC ID: 5698918662 Enrollment ID: I20140905001244 |
| Provider Name | Gregory Bobulsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598059099 PECOS PAC ID: 0840432530 Enrollment ID: I20140908000738 |
| Provider Name | John K Lodge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639421449 PECOS PAC ID: 7719107911 Enrollment ID: I20141010001971 |
| Provider Name | Angela S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154454080 PECOS PAC ID: 6800025537 Enrollment ID: I20150317002623 |
| Provider Name | Hacer Guvenc Bicer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952667297 PECOS PAC ID: 6406006352 Enrollment ID: I20150609002511 |
| Provider Name | Shengyi J Mao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952690612 PECOS PAC ID: 2961643218 Enrollment ID: I20150617001299 |
| Provider Name | Nathan R Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215226279 PECOS PAC ID: 8729220702 Enrollment ID: I20150617001421 |
| Provider Name | Susan E Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518250588 PECOS PAC ID: 5294976544 Enrollment ID: I20150617001473 |
| Provider Name | Michael R Tiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326330440 PECOS PAC ID: 2860633203 Enrollment ID: I20150630001577 |
| Provider Name | Melissa Anne Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487914172 PECOS PAC ID: 2264679398 Enrollment ID: I20150729009516 |
| Provider Name | Sarah R Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129385 PECOS PAC ID: 4183939580 Enrollment ID: I20150813011649 |
| Provider Name | Harrison L Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427314590 PECOS PAC ID: 0749595155 Enrollment ID: I20150813011877 |
| Provider Name | Aaron J Friedberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245596576 PECOS PAC ID: 3779717699 Enrollment ID: I20150817000715 |
| Provider Name | Lindsey Renee Tann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447658026 PECOS PAC ID: 0042525388 Enrollment ID: I20150817001136 |
| Provider Name | Mark Troyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073870101 PECOS PAC ID: 1254571102 Enrollment ID: I20150825003904 |
| Provider Name | Kruti C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568604924 PECOS PAC ID: 7113197948 Enrollment ID: I20150831001340 |
| Provider Name | Theresa L Dible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407163629 PECOS PAC ID: 7416263694 Enrollment ID: I20150902002371 |
| Provider Name | Elizabeth Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457738296 PECOS PAC ID: 8224345764 Enrollment ID: I20150916002329 |
| Provider Name | Ashley R Rumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508233289 PECOS PAC ID: 3577873116 Enrollment ID: I20151110002396 |
| Provider Name | Dusty M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235575390 PECOS PAC ID: 9638313810 Enrollment ID: I20160125001828 |
| Provider Name | Breanne Anstine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013371814 PECOS PAC ID: 1153620240 Enrollment ID: I20160422002225 |
| Provider Name | Mary S Vondra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174966634 PECOS PAC ID: 7416185509 Enrollment ID: I20160809000523 |
| Provider Name | Steven Michael Albrechta |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063772739 PECOS PAC ID: 0547407678 Enrollment ID: I20160829001456 |
| Provider Name | Tonda N Silverio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164975744 PECOS PAC ID: 0547556235 Enrollment ID: I20160906002376 |
| Provider Name | Christopher J Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629237870 PECOS PAC ID: 2264679265 Enrollment ID: I20160912002530 |
| Provider Name | Roopan E Farris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750609970 PECOS PAC ID: 1456597269 Enrollment ID: I20160913000729 |
| Provider Name | Alyson Kinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713449 PECOS PAC ID: 2365739216 Enrollment ID: I20160921001551 |
| Provider Name | Jennifer Ann Kunzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720434418 PECOS PAC ID: 4183912462 Enrollment ID: I20161019003118 |
| Provider Name | Kaitlyn Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104274729 PECOS PAC ID: 5890073530 Enrollment ID: I20161031001466 |
| Provider Name | Alesha C Densel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255704870 PECOS PAC ID: 5496034464 Enrollment ID: I20161115000756 |
| Provider Name | Jose L Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497203897 PECOS PAC ID: 9537448493 Enrollment ID: I20161116001895 |
| Provider Name | Jenice R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601341 PECOS PAC ID: 8628359221 Enrollment ID: I20161219001678 |
| Provider Name | Lindsey Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628159 PECOS PAC ID: 4183906886 Enrollment ID: I20170112001246 |
| Provider Name | Erin E Holley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710438767 PECOS PAC ID: 9537442157 Enrollment ID: I20170206001693 |
| Provider Name | Faraz Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467896621 PECOS PAC ID: 1456638014 Enrollment ID: I20170508002642 |
| Provider Name | Andrew G Keaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144647207 PECOS PAC ID: 8729309661 Enrollment ID: I20170516001450 |
| Provider Name | Sandra M Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659783454 PECOS PAC ID: 1456674779 Enrollment ID: I20170516002937 |
| Provider Name | Matthew J Flanigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811239650 PECOS PAC ID: 3870720170 Enrollment ID: I20170612002912 |
| Provider Name | Rachael P Mcguirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205275518 PECOS PAC ID: 2264658616 Enrollment ID: I20170630001892 |
| Provider Name | Poorvi D. Hardman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346683000 PECOS PAC ID: 2567690795 Enrollment ID: I20170725002219 |
| Provider Name | Crystal Losambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932483245 PECOS PAC ID: 9830366657 Enrollment ID: I20170810003295 |
| Provider Name | Amber L Nikolaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649794553 PECOS PAC ID: 8426322041 Enrollment ID: I20170920004157 |
| Provider Name | Christina D. Mcghee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215364658 PECOS PAC ID: 5092943662 Enrollment ID: I20170925003517 |
| Provider Name | Taru Saigal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215168539 PECOS PAC ID: 1153577036 Enrollment ID: I20170928004015 |
| Provider Name | Shana Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740799147 PECOS PAC ID: 7416223359 Enrollment ID: I20171020002627 |
| Provider Name | Jordan M Bomprezzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942719307 PECOS PAC ID: 1850657941 Enrollment ID: I20171106001773 |
| Provider Name | Leah M Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508109323 PECOS PAC ID: 5092071951 Enrollment ID: I20171108002637 |
| Provider Name | Amy Lee Gariety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427575927 PECOS PAC ID: 7012275084 Enrollment ID: I20171220001840 |
| Provider Name | Shawn Corcoran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134394851 PECOS PAC ID: 1951540616 Enrollment ID: I20171221002172 |
| Provider Name | Laura Bridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952625295 PECOS PAC ID: 9537305628 Enrollment ID: I20180116001641 |
| Provider Name | Mary E. Mosquera Cochran |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932612611 PECOS PAC ID: 1355601824 Enrollment ID: I20180131001600 |
| Provider Name | Sara Xiaoxin Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477964609 PECOS PAC ID: 1254631989 Enrollment ID: I20180525001359 |
| Provider Name | Grace Lucile Terman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215427679 PECOS PAC ID: 8224393954 Enrollment ID: I20180530003180 |
| Provider Name | Anne C Worth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366839268 PECOS PAC ID: 0042529265 Enrollment ID: I20180606001245 |
| Provider Name | Jessica Alexandra Perks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790285161 PECOS PAC ID: 3375808611 Enrollment ID: I20180607001128 |
| Provider Name | Nathan M Denlinger |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427444611 PECOS PAC ID: 4284944117 Enrollment ID: I20180615001616 |
| Provider Name | Emily C. Ickes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295224970 PECOS PAC ID: 5496003048 Enrollment ID: I20180730002975 |
| Provider Name | Amanda A. Pannu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922427616 PECOS PAC ID: 1355633231 Enrollment ID: I20180801001974 |
| Provider Name | Larry R. Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689094625 PECOS PAC ID: 8224326210 Enrollment ID: I20180912002945 |
| Provider Name | Navraj S. Pannu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558780247 PECOS PAC ID: 7113292947 Enrollment ID: I20180917001657 |
| Provider Name | Kelly Marie Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528442043 PECOS PAC ID: 9638488075 Enrollment ID: I20180928002244 |
| Provider Name | Jennifer M Neike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790270460 PECOS PAC ID: 0749532604 Enrollment ID: I20181004001751 |
| Provider Name | Amy Catherine Rae Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287015 PECOS PAC ID: 1355693847 Enrollment ID: I20181011000249 |
| Provider Name | Gregory John Jungwirth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407238207 PECOS PAC ID: 4981970993 Enrollment ID: I20181015001798 |
| Provider Name | Kerry Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790074417 PECOS PAC ID: 6406109990 Enrollment ID: I20181031000244 |
| Provider Name | Nishi V Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568857746 PECOS PAC ID: 2264742816 Enrollment ID: I20181102001887 |
| Provider Name | Martin Clendenning Fried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174933444 PECOS PAC ID: 7810265709 Enrollment ID: I20181109002109 |
| Provider Name | Risa Nicole Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770077091 PECOS PAC ID: 3971857988 Enrollment ID: I20181109002266 |
| Provider Name | Ines Aranguren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407153869 PECOS PAC ID: 4082833470 Enrollment ID: I20181115002148 |
| Provider Name | Kelly E Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235604810 PECOS PAC ID: 4880939230 Enrollment ID: I20181213001129 |
| Provider Name | Robert Michael Cronin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912140427 PECOS PAC ID: 8426292228 Enrollment ID: I20181231001186 |
| Provider Name | Courtney N Herendeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275017840 PECOS PAC ID: 5496091100 Enrollment ID: I20190116001992 |
| Provider Name | Garrett Randolph Heinz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720441082 PECOS PAC ID: 2062703242 Enrollment ID: I20190731002987 |
| Provider Name | Devin Alexander Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346602620 PECOS PAC ID: 9133417702 Enrollment ID: I20190805003238 |
| Provider Name | Sara Bourne Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619341468 PECOS PAC ID: 4587991856 Enrollment ID: I20190808002805 |
| Provider Name | Jeffrey R. Schord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750739462 PECOS PAC ID: 4284921677 Enrollment ID: I20190812004063 |
| Provider Name | Jared Matthew Stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053705020 PECOS PAC ID: 7012226517 Enrollment ID: I20190910000703 |
| Provider Name | Jaimie Ann Zydorczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194389080 PECOS PAC ID: 6305175605 Enrollment ID: I20190911003979 |
| Provider Name | Laura J. Youssef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649739582 PECOS PAC ID: 0648501510 Enrollment ID: I20191007002655 |
| Provider Name | Jessica M. Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399327 PECOS PAC ID: 9234460726 Enrollment ID: I20191015001406 |
| Provider Name | Jessica L. Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306401393 PECOS PAC ID: 9436481496 Enrollment ID: I20191024002596 |
| Provider Name | Chelsea Fu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548618267 PECOS PAC ID: 5294022216 Enrollment ID: I20191028003241 |
| Provider Name | Jacqueline G. Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780248443 PECOS PAC ID: 0446582183 Enrollment ID: I20191029002152 |
| Provider Name | Erin M Oberlander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053621 PECOS PAC ID: 1355673724 Enrollment ID: I20191105000286 |
| Provider Name | Alison Louise Mackinlay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144577842 PECOS PAC ID: 0749422616 Enrollment ID: I20191220001814 |
| Provider Name | Kendal Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841846722 PECOS PAC ID: 7315373040 Enrollment ID: I20200128003130 |
| Provider Name | Angela Finnegan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538310388 PECOS PAC ID: 6800223595 Enrollment ID: I20200218002225 |
| Provider Name | Candace L. Pumper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194207779 PECOS PAC ID: 8022445931 Enrollment ID: I20200304002878 |
| Provider Name | Hannah Cathryn Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487184180 PECOS PAC ID: 8729416268 Enrollment ID: I20200317001708 |
| Provider Name | Hiten D. Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457888497 PECOS PAC ID: 7618222837 Enrollment ID: I20200622002803 |
| Provider Name | Lauren A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851920490 PECOS PAC ID: 8325460835 Enrollment ID: I20200629002651 |
| Provider Name | Zachary M Bittinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457881880 PECOS PAC ID: 9638448517 Enrollment ID: I20200723002832 |
| Provider Name | Emily L Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174145015 PECOS PAC ID: 2860816568 Enrollment ID: I20200727003320 |
| Provider Name | Rudolf V Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689106395 PECOS PAC ID: 3779852595 Enrollment ID: I20200730003820 |
| Provider Name | Barbara Barash Bawer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992233894 PECOS PAC ID: 3274895321 Enrollment ID: I20200803002659 |
| Provider Name | Sabrina Glosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659610905 PECOS PAC ID: 0143597062 Enrollment ID: I20200812001155 |
| Provider Name | Melissa L. Edelmayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053668681 PECOS PAC ID: 3375969298 Enrollment ID: I20200821001246 |
| Provider Name | Anjali Nerurkar Parekh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275723470 PECOS PAC ID: 1557780434 Enrollment ID: I20200925001289 |
| Provider Name | Bethany Marie Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164047395 PECOS PAC ID: 6800215468 Enrollment ID: I20200930002906 |
| Provider Name | Paul T Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508408790 PECOS PAC ID: 0941629323 Enrollment ID: I20201005000930 |
| Provider Name | Chiao-thong Yong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083029201 PECOS PAC ID: 9133548399 Enrollment ID: I20201007002735 |
| Provider Name | Corey A Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760098834 PECOS PAC ID: 5395155691 Enrollment ID: I20201027002243 |
| Provider Name | Christopher G Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417953712 PECOS PAC ID: 3870904089 Enrollment ID: I20201119000872 |
| Provider Name | Olivia Leigh Risner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013506757 PECOS PAC ID: 5991119190 Enrollment ID: I20210129001472 |
| Provider Name | Ishrat Jahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982976247 PECOS PAC ID: 3476818816 Enrollment ID: I20210504002524 |
| Provider Name | Philip Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184161192 PECOS PAC ID: 7113297029 Enrollment ID: I20210507001437 |
| Provider Name | Kathryn Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336672922 PECOS PAC ID: 0547535304 Enrollment ID: I20210621003360 |
| Provider Name | Amythest Gauthier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609361617 PECOS PAC ID: 0547506073 Enrollment ID: I20210708002387 |
| Provider Name | Tran Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700382769 PECOS PAC ID: 4587917232 Enrollment ID: I20210716002297 |
| Provider Name | Dhuha Mahmoud Alwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518453224 PECOS PAC ID: 4486902749 Enrollment ID: I20210810001621 |
| Provider Name | Matthew David Schirtzinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952805376 PECOS PAC ID: 9335498021 Enrollment ID: I20210819002807 |
| Provider Name | Lisa M. Kruse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861075798 PECOS PAC ID: 7517362130 Enrollment ID: I20210819003696 |
| Provider Name | Michael J Dial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023503299 PECOS PAC ID: 6901201318 Enrollment ID: I20210824001218 |
| Provider Name | Emily A Eichel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043885528 PECOS PAC ID: 3072918408 Enrollment ID: I20210824001803 |
| Provider Name | Francis Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194229542 PECOS PAC ID: 4688912363 Enrollment ID: I20210903002284 |
| Provider Name | Zachary R Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679140149 PECOS PAC ID: 1951707074 Enrollment ID: I20210914003720 |
| Provider Name | Vandana Ohri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841796323 PECOS PAC ID: 8628475902 Enrollment ID: I20210929002361 |
| Provider Name | Darryll R. Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952405177 PECOS PAC ID: 7810885712 Enrollment ID: I20211004003123 |
| Provider Name | Hayley S. Westmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978676 PECOS PAC ID: 1153710470 Enrollment ID: I20211108001553 |
| Provider Name | Siera J. Holley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306456363 PECOS PAC ID: 2668861485 Enrollment ID: I20211117002007 |
| Provider Name | Natalie Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053798561 PECOS PAC ID: 0143523456 Enrollment ID: I20220110002572 |
| Provider Name | Sinead Yarberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255977963 PECOS PAC ID: 0345636999 Enrollment ID: I20220406002887 |
| Provider Name | Francisco M Magana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063944262 PECOS PAC ID: 6608146766 Enrollment ID: I20220713000436 |
| Provider Name | Margaret Kirwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316441959 PECOS PAC ID: 3173879418 Enrollment ID: I20220722002486 |
| Provider Name | Alisha Frances Alabre-bonsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518428705 PECOS PAC ID: 8022342559 Enrollment ID: I20220817001705 |
| Provider Name | Mehrosh Naseem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093276404 PECOS PAC ID: 3274869797 Enrollment ID: I20220817001925 |
| Provider Name | Karl Gregory Shaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891257804 PECOS PAC ID: 8820322803 Enrollment ID: I20220817002595 |
| Provider Name | Rachel D Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417465428 PECOS PAC ID: 1759639305 Enrollment ID: I20220819001103 |
| Provider Name | Mary Wirtz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780145995 PECOS PAC ID: 7810221892 Enrollment ID: I20220819001208 |
| Provider Name | Lillian Hetson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760041313 PECOS PAC ID: 3870822992 Enrollment ID: I20220907003919 |
| Provider Name | Andrew Richard Eiterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407317936 PECOS PAC ID: 1254665532 Enrollment ID: I20220908001953 |
| Provider Name | Timothy Adesanya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215593090 PECOS PAC ID: 7517295504 Enrollment ID: I20220908003674 |
| Provider Name | Sukhreet K Ghuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194212316 PECOS PAC ID: 2860748191 Enrollment ID: I20220908003689 |
| Provider Name | Kristin Nicole Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750885539 PECOS PAC ID: 2163779786 Enrollment ID: I20220914002140 |
| Provider Name | Rosalie Volovetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356801633 PECOS PAC ID: 9537584339 Enrollment ID: I20220914002947 |
| Provider Name | Chyke Doubeni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932182896 PECOS PAC ID: 4789607755 Enrollment ID: I20220915003514 |
| Provider Name | Bailey Lessig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710471404 PECOS PAC ID: 9436534815 Enrollment ID: I20220921002225 |
| Provider Name | Kavya Sreevalsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407218217 PECOS PAC ID: 4688973837 Enrollment ID: I20220923000788 |
| Provider Name | Sonya Jean Wegman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073074563 PECOS PAC ID: 1951636810 Enrollment ID: I20220923001412 |
| Provider Name | Audrey Grace Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871238378 PECOS PAC ID: 1456736693 Enrollment ID: I20220923001537 |
| Provider Name | Anna Doubeni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073596979 PECOS PAC ID: 7416033733 Enrollment ID: I20221013001404 |
| Provider Name | Nicole Christine Donner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609508761 PECOS PAC ID: 6103292354 Enrollment ID: I20221013001412 |
| Provider Name | Jason Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275952590 PECOS PAC ID: 7113254194 Enrollment ID: I20221013003452 |
| Provider Name | Areej Tariq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295397172 PECOS PAC ID: 0749656726 Enrollment ID: I20221017000498 |
| Provider Name | Colleen C Reidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306406459 PECOS PAC ID: 4183951056 Enrollment ID: I20221017000644 |
| Provider Name | Megan L Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588308241 PECOS PAC ID: 7113393141 Enrollment ID: I20221017002119 |
| Provider Name | Larry S Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699209692 PECOS PAC ID: 6608116413 Enrollment ID: I20221024001718 |
| Provider Name | Hillary Falter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871229930 PECOS PAC ID: 6204204761 Enrollment ID: I20221115001761 |
| Provider Name | Neha Teekappanavar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023514585 PECOS PAC ID: 3779839683 Enrollment ID: I20221214002165 |
| Provider Name | Stacy L Cleveland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316182561 PECOS PAC ID: 9537525514 Enrollment ID: I20230517001202 |
| Provider Name | Jordan Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245809383 PECOS PAC ID: 7719347400 Enrollment ID: I20230712004222 |
| Provider Name | Duncan Lynch Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982162186 PECOS PAC ID: 5193059103 Enrollment ID: I20230721000656 |
| Provider Name | Jennifer Desalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457810400 PECOS PAC ID: 6709111354 Enrollment ID: I20230721001002 |
| Provider Name | Alexander Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033747308 PECOS PAC ID: 6608237581 Enrollment ID: I20230726000442 |
| Provider Name | Lacey Leann Takhtay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258966 PECOS PAC ID: 6507290137 Enrollment ID: I20230814001840 |
| Provider Name | Lora L. Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053741074 PECOS PAC ID: 6800130618 Enrollment ID: I20230815003199 |
| Provider Name | Michael Raymond Neiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619437167 PECOS PAC ID: 8527393941 Enrollment ID: I20230816001865 |
| Provider Name | Katherine Ann Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588341564 PECOS PAC ID: 9830551977 Enrollment ID: I20230822000126 |
| Provider Name | Ashley Nichole Toler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295087856 PECOS PAC ID: 7214381102 Enrollment ID: I20230926003654 |
| Provider Name | Ozan Yigit Suer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659998136 PECOS PAC ID: 5496109241 Enrollment ID: I20230927001837 |
| Provider Name | Jamila Asif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003430075 PECOS PAC ID: 7911329289 Enrollment ID: I20230927003348 |
| Provider Name | Kevin William Consevage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130276 PECOS PAC ID: 3274955349 Enrollment ID: I20230927003516 |
| Provider Name | Victoria Margaret Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972122794 PECOS PAC ID: 3173977717 Enrollment ID: I20230929002180 |
| Provider Name | Meaghan Coburn Costello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982165957 PECOS PAC ID: 8325372055 Enrollment ID: I20231002003531 |
| Provider Name | Shilpa Sridhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023577319 PECOS PAC ID: 0244564441 Enrollment ID: I20231004003007 |
| Provider Name | Nicolette Barbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124518634 PECOS PAC ID: 8729330204 Enrollment ID: I20231005000663 |
| Provider Name | Aasim Wahab Soomro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669033486 PECOS PAC ID: 9931554219 Enrollment ID: I20231005002223 |
| Provider Name | Cali Michelle Hazel-venrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427546696 PECOS PAC ID: 4284089541 Enrollment ID: I20231006002214 |
| Provider Name | Emily E Gaietto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407540438 PECOS PAC ID: 7911354329 Enrollment ID: I20231107001356 |
| Provider Name | Alison Marie Sobowale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407217946 PECOS PAC ID: 0042667495 Enrollment ID: I20231107003057 |
| Provider Name | Erin Paige Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588098404 PECOS PAC ID: 2769839018 Enrollment ID: I20231108003287 |
| Provider Name | Logan Aaron Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144918368 PECOS PAC ID: 5092162941 Enrollment ID: I20231114002442 |
| Provider Name | Jessica Hae-min Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932661824 PECOS PAC ID: 0244567741 Enrollment ID: I20231229001229 |
| Provider Name | Leah Dapo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326409277 PECOS PAC ID: 1153772926 Enrollment ID: I20240105000554 |
| Provider Name | Dawn Renee Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043743149 PECOS PAC ID: 5698126977 Enrollment ID: I20240111000948 |
| Provider Name | Kathleen L. Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932448206 PECOS PAC ID: 8426099334 Enrollment ID: I20240119001604 |
| Provider Name | Sydney Diane Von Der Embse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740865286 PECOS PAC ID: 7719339969 Enrollment ID: I20240123004275 |
| Provider Name | Kelley Lea Drayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942650437 PECOS PAC ID: 6305224627 Enrollment ID: I20240131004664 |
| Provider Name | Sarah Perou Hermans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881274462 PECOS PAC ID: 8325448962 Enrollment ID: I20240513003282 |
| Provider Name | Ashlee M. Asada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013599729 PECOS PAC ID: 2466852215 Enrollment ID: I20240517003200 |
| Provider Name | Mariel Fahnline Mcguiness |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356978399 PECOS PAC ID: 8527480888 Enrollment ID: I20240612001263 |
| Provider Name | Christine Sonia Cassidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265014914 PECOS PAC ID: 0446650196 Enrollment ID: I20240613002730 |
| Provider Name | Jasmine Olivia Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073195434 PECOS PAC ID: 1052711793 Enrollment ID: I20240617000602 |
| Provider Name | Jeanette Schnierle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740818038 PECOS PAC ID: 5294157657 Enrollment ID: I20240624003459 |
| Provider Name | Nathaniel John Parisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306473533 PECOS PAC ID: 9931521309 Enrollment ID: I20240627000206 |
| Provider Name | Justin Blake Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710553656 PECOS PAC ID: 9133663990 Enrollment ID: I20240703002111 |
| Provider Name | Karina M Woodling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184201063 PECOS PAC ID: 6507267812 Enrollment ID: I20240710002847 |
| Provider Name | Ashwen Ravichandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679149397 PECOS PAC ID: 5698210979 Enrollment ID: I20240710004744 |
| Provider Name | Warren Alexander Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336686328 PECOS PAC ID: 1355742214 Enrollment ID: I20240725000562 |
| Provider Name | Jacqueline Christine Jepsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265008973 PECOS PAC ID: 5496293938 Enrollment ID: I20240815002445 |
| Provider Name | Katherine Lynn Kovach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598519480 PECOS PAC ID: 7618417205 Enrollment ID: I20240910002662 |
| Provider Name | Preston Walker Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245816123 PECOS PAC ID: 9830598317 Enrollment ID: I20240912000339 |
| Provider Name | Diego Armando Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114771136 PECOS PAC ID: 6002348356 Enrollment ID: I20241011002472 |
| Provider Name | Alexandra Lauren Fornof |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659123495 PECOS PAC ID: 4082146956 Enrollment ID: I20241016002997 |
| Provider Name | Hannah M Santoni |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538986153 PECOS PAC ID: 1355875402 Enrollment ID: I20241112001132 |
| Provider Name | Rachael Elizabeth Menssen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245058494 PECOS PAC ID: 9234663006 Enrollment ID: I20241115002313 |
| Provider Name | Taylor Brady Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720616006 PECOS PAC ID: 1456773266 Enrollment ID: I20241118003389 |
| Provider Name | Kathryn E Nutting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962026005 PECOS PAC ID: 7618362286 Enrollment ID: I20241120000953 |
| Provider Name | Erica Yumi Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164043584 PECOS PAC ID: 9830598424 Enrollment ID: I20241227002805 |
| Provider Name | Katherine Ann Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295476323 PECOS PAC ID: 4688052186 Enrollment ID: I20250424002567 |
| Provider Name | Brian P O'connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578203451 PECOS PAC ID: 4981083318 Enrollment ID: I20250424002869 |
| Provider Name | Megan Patricia Mccrohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629656152 PECOS PAC ID: 8820407141 Enrollment ID: I20250424002927 |
| Provider Name | Mitchell Wayne Shelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518616754 PECOS PAC ID: 0446639868 Enrollment ID: I20250425000619 |
| Provider Name | Gregory Michael Lavins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912402769 PECOS PAC ID: 0749537025 Enrollment ID: I20250603002973 |
Mount Carmel Health Providers Two, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5965 E Broad St, Suite 370, Columbus, OH 43213 Phone: 614-866-5555 | |
North Community Counseling Centers Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6037 Cleveland Ave, Columbus, OH 43231 Phone: 614-827-1307 Fax: 614-267-7013 | |
Ncr Permanent Supportive Housing Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 398 S Grant Ave, Columbus, OH 43215 Phone: 614-224-2988 Fax: 614-716-0901 | |
Applied Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Snouffer Rd, Columbus, OH 43235 Phone: 614-984-3740 | |
Next Step Recovery Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 W 5th Ave, Columbus, OH 43201 Phone: 614-987-5003 Fax: 614-987-5167 | |
Beyond The Storm Counseling And Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3493 Bigby Hollow Ct, Columbus, OH 43228 Phone: 614-975-7899 | |
Julie Herron Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8184 Markhaven Dr, Columbus, OH 43235 Phone: 614-530-5977 |